Enhancing Nutrition Services to Improve Maternal and Child Health ( ENRICH) in Africa and Asia

This is a multi-country intervention project supported by the Government of Canada via itsPartnerships for Strengthening Maternal, Newborn and Child Health (PS-MNCH). World VisionCanada (WVC) is the lead agency in consortium with other Canadian partners including NutritionInternational (NI), HarvestPlus (H+), the Canadian Society for International Health (CSIH), the University of Toronto’s Dalla Lana School of Public Health (UofT) and the Hospital for Sick Children (HSC).

The University of Toronto is a key Monitoring and Evaluation (M&E) partner for the ENRICH and is responsible for providing overall technical and scientific guidance for monitoring and evaluation of the project over the life of the project. A major component of M&E is design and implementation of baseline, mid-term and end line in Kenya, Tanzania, Pakistan and Bangladesh in collaboration with in-country academic or research institutions.

The main aims of the project are to reduce maternal and child mortality through directly addressing malnutrition in the first 1000 days (from conception to child’s second birthday) in targeted regions in each country and inform national health and nutrition policies in these settings. IHI will work with University ofToronto Canada in November 2018 to undertake Midterm evaluation in the intervention sites only.

Objectives

Main objectives for mid-term evaluation is to evaluate the progress of the program since inception as well as lessons learned to improve implementation in the second half of the program. The program interventions are taking place in 3 districts in Shinyanga region (Kahama, Shinyanga rural and Kishapu) and 2 districts in Singida region (Manyoni and Ikungi).

The overall evaluation design uses a quasi-experimental mixed method approach with repeated cross-sectional surveys at the baseline, mid-term and end line in five intervention districts and two control sites.

Specific objectives

1. To improve delivery and utilization of gender-responsive essential health and nutrition services to mothers, pregnant and lactating women (PLW), newborns and children under five (CU5).

2. To increase consumption of nutritious foods and supplements by mothers, PLW, newborns and CU5; and iii) To strengthen gender-responsive governance, policy and public engagement in maternal, newborn and child health in the target regions.